HomeMy WebLinkAbout2007-HVAC (furnace; a/c)
o
OSHKOSH
ON THE WATER
Job Address 1119 REICHOW ST
CITY OF OSHKOSH
No
125556
HVAC PERMIT -APPLICATION AND RECORD
Owner JOSEPH E/HEATHER L KOTLOSKI
Create Date 06/28/2007
Contractor RYF HEATING & AlC INC
Fuel l!J Gas UOil
System D New
l!J Forced Air U Radiant
I I Electric U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss I() As Approved () Existing
BTU Rate () As Per Plan . Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
U Solar U Solid
D Other
l!J AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
() Other
Value
Value
Use/Nature SFR / Replace furnace & AlC. Install 4" chimney liner. EIV provided by Seckar Electric.
of Work
Fees: Valuation
a:::;o
Plan Approval
$0.00
Permit Fee Paid
$115.00
Issued By:
Date 06/28/2007
D Permit Voided I
Parcelld # 1309570000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
PO BOX 450
WINNECONNE
WI 54986 - 450 Telephone Number 920-582-4451
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THE WATER
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being double4 or $100.00 plus the
llormal permit fee, which ever is greater.
OR
I(vou are a contractor varticivatinfl in the Permit fee Account System and have adequate funds. check here
if yOU want this processed throuffh your account n
JOB ADDRESS J 1/9 ~/ el, 0 <..V
OWNER Cf'o e_ ko+ 1<> 51 k.~
CONTRACTOR Pyf:- Jfc~+1 ~ ~ 14-~C'_ J:V'-.
DATE 6 -;;;. 7-0-7
CHECK fi1 ALL APPLICABLE
USE CATEGORY
mingle Family o Duplex o Multi-Family
o Rental
DCommercial
o Industrial
FUEL
fl9Gas
OOil
OElectric OSolid
OSolar
SYSTEM
ONew
OOther
J2lReplace
TYPE
~orced Air o Radiant OSteam ONC OVent OElectric DHot Water DSuppl. DCOll. Burner
IS CHIMNEY BEING LINED DNo IiYes - LINER SIZE ~ & MANUFACTURER R~~ 2- l/~......,r
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney B
OExisting
~Variable
DESCRIPTION OF ALL WORK BEING DONE
J? e...-~____ .J- /? te-c:>k.._,-,'*' h/uQ c;.. - 11- /4;l_
,
OChimney A
OAs Approved
OAs Per Plan
DDirect Vent OOther
dNot Applicable
OOther Value
VALUE (Including labor and materials) $ ?IS~OO. ~ 0
JUN 2 8 2007
ELECTRICAL CONTRACTOR . ".-
U For applicable projects, an Electric mstallation Verification form, signed bf~~
attached. . If not attached or not applicable, a separate Electrical Permit is required.
6~l/J
-\ '1 <0
Q" 10/04
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s
Clil10rQaJatll
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21S ChIlli Iw..
M)..lUO
CWIIMIIWl 5<Iil!.1.1130
O!ftal_~)uo.C(l
pP 'JWJt05G'"
Electric lastallatioD VerificatioD
1 (We) 6Ec.F ftfJC- E;caTf- \ c. CD. / {\l~
(Electrical Contractor Name)
~kO CDv~6liEuJfr1{h't~ €.D {)JJtJ~LOtJAfe WI 5'B<oto
(AddMsI) (City) (State) (Zip Code)
havo ~een contractA:Ki to pBl'form electric installation work fo: elf LH e f\1l IV b
(Name of party conttacted to)
.t me foUowins address:
I' I ,R~l' ck ouJ
(Address where work win be podonnoci)
The natW'e of the workeonsiits of: (Check One or DOICribe the ~ature of\Vork)
-
RecoJll1.ction or new circuit for replacement Heating Plant and/or AiC Condenser,
Roconnection or AeYI circuit for replacement Blectric Wate: Heater or power vented
w,* beater.
Roconneetior. of the Service Entrance Cable. Meter Box. alterations to recepacles
8I1d liFting fixtures due to siding I.oftit installation. Note: New Servit;e
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
app1iaaees I fixtureS.
~ew circuit for the addition of Ale to an individual dwelling unil (house or the
individual systems in a duplex or condominium). in~luding required service
electrical o\U1cta,
Other
p
JUN 2 8 2007
The value o1't~j. work is 5J :'-0. 00
. DEPARTMENT OF
I hereby vcritr ~ work ~11 be,performed.bY an ~ployee,ofthis comp~~~~~~~O~~~~;o
the recOl'l:loctlon Ill'Jlta1lation ",ill be done 10 compliance With oatlufacturer ~~Bf~tnc ~l~ - . N
roquiromatl.
-DI~E Se-(~
(Print Nam= of Officer)
" ..... 2.. -; -(Y7
(Date)
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